Understanding High Myopia: Risks, Treatments, and Lifestyle Adjustments
High myopia I have high myopia, and I really don't want to wear glasses for the rest of my life. I haven't properly protected my eyes since childhood, which is why I often experience high intraocular pressure. My myopia is -10.00 diopters, and I've been told that h...
Dr. Gao Pilin Reply:
Hello Jiajing: I apologize, but it is currently not possible to restore the eyeball to a state of emmetropia before myopia developed. In cases of high myopia, the condition of the retina must be assessed. If there is no retinal damage, one can generally live a life similar to tha...[Read More] Understanding High Myopia: Risks, Treatments, and Lifestyle Adjustments
Understanding Retinal Laser Treatment: Risks and Genetic Factors
Retinal laser treatment Hello Dr. Gao: I have a friend who experienced retinal detachment the day after undergoing laser treatment for a retinal tear. I would like to ask about the likelihood of such cases. He mentioned that it is uncertain whether a poor scarring reaction led to...
Dr. Gao Pilin Reply:
Hello, Xiaolin: The scabbing from the laser treatment takes some time to heal. If it peels off the next day, it indicates that moisture has entered the original wound, causing the peeling. This should not be related to the scab's tension. It is also unlikely to be related to...[Read More] Understanding Retinal Laser Treatment: Risks and Genetic Factors
Post-Retinal Detachment Surgery: Concerns and Recovery Tips
Post-retinal detachment surgery Hello, since September, I have undergone two surgeries on my left eye and I am very concerned about my vision after healing. Here is my medical history: I have been taking medications to control my blood sugar and hypertension (including BOKEY) for...
Dr. Gao Pilin Reply:
Hello Mr. Zhang: Currently, there is a dark area in your left eye with some imaging, but it is not very clear. The lower third appears slightly brighter with some imaging, but again, it is quite unclear. Overall, it presents as a patchy appearance. May I ask if there is damage to...[Read More] Post-Retinal Detachment Surgery: Concerns and Recovery Tips
Understanding the Risks of LED and Laser Light Exposure to Eyes
Bright light exposure to the eyes? 1. Are the flashlight functions on current smartphones all LED lights? Could they potentially contain laser light? 2. If a smartphone flashlight shines into the eyes for about 5 seconds under normal conditions, will it cause damage to the surfa...
Dr. Gao Pilin Reply:
Hello, Xiao Qiang: 1. The mobile phone light is generally LED; LED is not a laser. 2. In a short duration, it should not cause harm, as no experiments have been conducted, and the intensity of light can vary. 3. No experiments have been conducted, and the light from a flashlight...[Read More] Understanding the Risks of LED and Laser Light Exposure to Eyes
Long-Term Use of Mydriatics: Risks of Glaucoma and Other Eye Conditions
Side effects of eye drops? 1. If the angle is normal but there is a predisposition to "chronic" open-angle glaucoma, will long-term use of mydriatic agents induce glaucoma? 2. I have seen different opinions online. Doctor A says, "Long-term use should be cautious ...
Dr. Gao Pilin Reply:
Hello Daniel: Open-angle glaucoma is less likely to experience acute attacks due to mydriatic agents. Closed-angle glaucoma is more prone to such occurrences. Mydriatic agents cause the pupils to dilate, increasing the amount of light entering the eye. Prolonged exposure to brigh...[Read More] Long-Term Use of Mydriatics: Risks of Glaucoma and Other Eye Conditions
Understanding Light Distortion and Double Vision with Glasses
Eyeglass issues? 1. The symptoms you are experiencing, such as seeing blue and yellow halos around lights, particularly when wearing glasses, could be indicative of several eye conditions. These may include astigmatism, which can cause light distortion, or issues related to the l...
Dr. Gao Pilin Reply:
Hello: The blue and yellow halos at the edges are due to the prism effect of the lenses, causing dispersion. This phenomenon is more pronounced in thicker lenses. The greater the angle at which you view the eyeglass lenses, the more severe the diplopia, which is also due to this ...[Read More] Understanding Light Distortion and Double Vision with Glasses
Choosing the Right Monofocal Intraocular Lens for High Myopia Patients
The selection of monofocal intraocular lenses? Hello Doctor: I have cataracts caused by high myopia, with my left eye at -950 and my right eye at -1200, which has recently changed to -1600. Since I am accustomed to wearing glasses, I have chosen a monofocal aspheric intraocular l...
Dr. Gao Pilin Reply:
Hello Swallow: "Retained 50 degrees of presbyopia, but there is no impact on distance vision, which remains at 200 degrees." I don't quite understand this statement and may need to discuss it with the attending physician. Regarding the "short-focus enhanced vi...[Read More] Choosing the Right Monofocal Intraocular Lens for High Myopia Patients
Night Vision Issues: Halo Effects and Light Sensitivity Explained
Poor night vision, presence of halos, and photophobia? Hello, Doctor Gao. I am currently 26 years old and I spend a lot of time using my eyes, almost all day staring at the computer. My myopia is about -3 to -4 diopters, with astigmatism of over -1 diopter in one eye and over -2 ...
Dr. Gao Pilin Reply:
Hello, S: Conditions such as conjunctivitis, keratitis, iritis, cataracts, and glaucoma may all present with halos. Issues with the cornea itself can lead to halos. If there is no inflammation, no cataracts, and no glaucoma, it may be more related to the cornea, so it would be ad...[Read More] Night Vision Issues: Halo Effects and Light Sensitivity Explained
Understanding Diplopia: Causes, Symptoms, and Treatment Options
Diplopia issues I previously experienced double vision and consulted a doctor who diagnosed it as eye strain. After using eye drops for a month, my condition improved, but I still have issues with my right eye. The doctor only advised me to rest more. Could there be other underly...
Dr. Gao Pilin Reply:
Hello Mr. Wu: The possible causes of monocular diplopia include: refractive errors (especially astigmatism), corneal disorders, cataracts, lens dislocation, iris atrophy, iris surgery (resulting in two pupils), and vitreoretinal diseases. Monocular diplopia may not be related to ...[Read More] Understanding Diplopia: Causes, Symptoms, and Treatment Options
Understanding the Safety of Dilating Eye Drops: Risks and Concerns
Pupil-dilating eye drops 1. If a patient undergoes two dilated fundus examinations at different ophthalmology clinics approximately six days apart, will the proximity of the dilation drops cause any harm to the eyes, such as corneal injury, cataracts, macular degeneration, or gla...
Dr. Gao Pilin Reply:
Hello, Delhi: 1. No, it won't happen. 2. No, it won't happen. 3. It's temporary, as the angle will return to its original size once the pupil constricts. Taiwan E-Hospital Puzi Hospital Ophthalmology: Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM; ...[Read More] Understanding the Safety of Dilating Eye Drops: Risks and Concerns
Understanding Vision Decline: Common Eye Issues and Treatments
Vision deterioration Hello, doctor. I have three questions that I hope you can clarify for me: 1. Every morning when I wake up and open my eyes, I see golden, honeycomb-like patterns in front of me, which gradually disappear after about three minutes. What could this be? 2. I ...
Dr. Gao Pilin Reply:
Hello from Vienna: 1. It is possible that you are experiencing vitreous floaters, which may disappear with changes in posture. I cannot speculate further without more information. However, if they disappear, it is likely not a cause for concern. 2. Currently, there is no trea...[Read More] Understanding Vision Decline: Common Eye Issues and Treatments
Understanding Myopia Progression: Factors Beyond Axial Length in Young Adults
RE: Rapid Increase in Myopia Among College Students Thank you, doctor, for your helpful response to my previous question. Regarding my second question, "Myopia is influenced not only by axial length but also by the cornea and lens. At 19 years old, if there is no trauma, can...
Dr. Gao Pilin Reply:
Hello, Ms. Yan: Aside from the axial length of the eye, the most common cause of changes in the refractive power of the lens is the contraction of the ciliary muscle. However, the specific origin of this change is not something to be overly concerned about, as it is a multifact...[Read More] Understanding Myopia Progression: Factors Beyond Axial Length in Young Adults
Understanding Macular Pucker: Post-Surgery Concerns and Treatments
Macular folds Hello Doctor, I had retinal detachment surgery on my right eye in March of this year and discovered that there is a proliferative membrane fold in the macula. I underwent cataract surgery on the same eye in August, and since then I have been using methylprednisolone...
Dr. Gao Pilin Reply:
Hello Mr. Tsai: 1. It is possible that the pupil's response to the medication is not ideal, which is commonly seen after surgery or following eye inflammation. This should not be related to methylsulfate neostigmine. 2. If the physician has made such a recommendation, it...[Read More] Understanding Macular Pucker: Post-Surgery Concerns and Treatments
Post-Cataract Surgery Eye Drops: When to Continue and Possible Vision Issues
Postoperative eye drops for cataract surgery? Hello, my mother underwent cataract surgery on September 22 and had a follow-up appointment the next day. The doctor prescribed Restasis and Colobreathe eye drops, advising her to use them until the stitches were removed on September ...
Dr. Gao Pilin Reply:
Dear Miss Wang, There are many causes of blurred vision, such as infections, inflammation, elevated intraocular pressure, and corneal edema. However, if you experience a sudden change in vision, please do not wait and seek medical attention immediately. If you cannot see your or...[Read More] Post-Cataract Surgery Eye Drops: When to Continue and Possible Vision Issues
Understanding Vision Changes After Macular and Cataract Surgeries: Causes and Solutions
On January 9, a macular epiretinal membrane was surgically removed from the left eye, and on September 10, cataract surgery was performed? Hello Doctor, I underwent surgery on January 9th for distortion in my vision affecting the macula of my left eye. This subsequently led to se...
Dr. He Jianxian Reply:
Hello Ms. Zhao: Typically, cataract surgery does not lead to such issues, so it may be related to the macula. The best way to address this would be to consult your attending physician. Dr. He Jianxian, Ophthalmology Department, Nantou Hospital.[Read More] Understanding Vision Changes After Macular and Cataract Surgeries: Causes and Solutions
Understanding Glaucoma: Key Questions and Concerns for Patients
Questions about glaucoma? Dear Doctor, My father experienced blurred vision in his left eye about six months ago and initially visited a local clinic. The doctor diagnosed him with cataracts, but stated that it had not progressed to the point of requiring surgery, so my father o...
Dr. Gao Pilin Reply:
Hello Mr. Wang: 1. Visual field (VF) testing is a passive examination. In addition to optic nerve disorders, cataracts can sometimes also affect the results. Optical coherence tomography (OCT) is a subjective method of examination that can reveal the condition of the optic nerve...[Read More] Understanding Glaucoma: Key Questions and Concerns for Patients
Post-Cataract Surgery Vision Issues: Can I Adjust My Prescription?
Postoperative refractive issues after cataract surgery? Hello, doctor: I have cataracts in both eyes. My right eye originally had a prescription of -6.25 diopters, which increased to -13.50 diopters due to cataracts, along with presbyopia of +2.00 diopters and astigmatism of -1.2...
Dr. Gao Pilin Reply:
Hello, If the left eye has a prescription of -300 degrees for myopia, and the right eye has a slightly different prescription, there will still be issues with binocular disparity, and you may only be able to see clearly with one eye at a time. I'm not sure why you would wa...[Read More] Post-Cataract Surgery Vision Issues: Can I Adjust My Prescription?
Managing Uveitis: Treatment, Complications, and Cataract Concerns
Treatment and Complications (Sequelae) of Iritis Hello Doctor, I have experienced iritis four times this year, approximately once a year, with each episode occurring during the transition from summer to autumn. Since the first episode, the doctor at the clinic requested blood tes...
Dr. Gao Pilin Reply:
Hello Qianqian: When iritis is mild, there are usually no significant symptoms. However, when it becomes severe, it can lead to acute glaucoma, causing pain and blurred vision. Cataracts are also a common complication of recurrent iritis that is difficult to avoid. Iritis associa...[Read More] Managing Uveitis: Treatment, Complications, and Cataract Concerns
Understanding Visual Disturbances After Solar Eclipse Viewing
When looking at a white wall, I experience rippling flashes of light when my eyes move up and down? Hello, Doctor: At the end of June 2020, during the annular solar eclipse (like a ring), I looked at the sun with the naked eye for about ten seconds. After looking away, the visual...
Dr. Gao Pilin Reply:
Hello, 1. It is possible that the vitreous is pulling on the retina. Therefore, it is advisable to avoid activities that may cause this phenomenon. If you experience this condition while at rest, you should seek an examination promptly. 2. It should not be related. A few seco...[Read More] Understanding Visual Disturbances After Solar Eclipse Viewing
Understanding Glaucoma: Symptoms, Diagnosis, and Treatment Options
Suspected glaucoma Hello Doctor, I would like to ask a few questions: My father has mild cataracts, which have led to a decline in vision in his left eye, with a corrected vision result of 0.3. Previously, the doctor suspected that the cataracts were affecting his vision, but dur...
Dr. Gao Pilin Reply:
Hello Mr. Wang: 1. Both cataracts and glaucoma can affect vision. If the surgery goes smoothly, complications are unlikely to occur. 2. Glaucoma requires monitoring of intraocular pressure, the condition of the optic nerve, and visual field tests. 3. For more detailed informa...[Read More] Understanding Glaucoma: Symptoms, Diagnosis, and Treatment Options